Insomnia Severity Mediates the Association between COVID-19 Related Anxiety and Increase in Tobacco Smoking During the COVID-19 Pandemic among Adults.

IF 2.2 3区 医学 Q3 CLINICAL NEUROLOGY Behavioral Sleep Medicine Pub Date : 2023-09-03 DOI:10.1080/15402002.2022.2147934
Ami Cohen, Ohad Szepsenwol, Iris Haimov
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引用次数: 1

Abstract

Objectives: Examining the associations of COVID-19 related anxiety and insomnia with increased smoking following the outbreak of the COVID-19 pandemic, and investigating whether increased insomnia severity mediates the association between COVID-19 related anxiety and increased smoking.

Methods: 598 participants, aged 18-40, out of whom 140 self-identified as smokers, completed online questionnaires during the third wave of the COVID-19 pandemic. Measures included two items assessing COVID-19 related anxiety, the Pittsburgh Sleep Quality Index, and the Insomnia Severity Index, which included a pre-pandemic retrospective report.

Results: Compared with nonsmokers, smokers reported lower sleep quality and more severe symptoms of insomnia. Among smokers, more severe symptoms of insomnia were associated with greater odds of increased smoking during the COVID-19 outbreak. COVID-19 related anxiety was indirectly associated with greater odds of increased smoking through greater insomnia severity during the COVID-19 outbreak, after controlling for pre-pandemic levels of insomnia.

Conclusions: Smokers experienced more sleep difficulties during the COVID-19 pandemic than nonsmokers. The results also lend support to the suggestion that anxiety, such that was experienced during the COVID-19 pandemic, may lead to further exacerbation of sleep difficulties, leading in turn to increase in smoking. These findings have important clinical implications that may be particularly relevant to attempts to minimize smoking during stressful circumstances.

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成人COVID-19大流行期间,失眠严重程度介导了COVID-19相关焦虑与吸烟增加之间的关联
目的:探讨新冠肺炎大流行后新冠肺炎相关焦虑和失眠与吸烟增加的关系,并探讨失眠严重程度的增加是否在新冠肺炎相关焦虑与吸烟增加之间起中介作用。方法:在第三波COVID-19大流行期间,598名年龄在18-40岁之间的参与者完成了在线问卷调查,其中140人自认为是吸烟者。测量包括评估COVID-19相关焦虑的两个项目,匹兹堡睡眠质量指数和失眠严重程度指数,其中包括大流行前的回顾性报告。结果:与不吸烟者相比,吸烟者的睡眠质量较低,失眠症状更严重。在吸烟者中,更严重的失眠症状与COVID-19爆发期间吸烟增加的可能性有关。在控制了流行病前的失眠水平后,与COVID-19相关的焦虑与COVID-19爆发期间更严重的失眠程度导致吸烟增加的可能性间接相关。结论:在COVID-19大流行期间,吸烟者比不吸烟者经历了更多的睡眠困难。研究结果还支持了这样一种观点,即在COVID-19大流行期间经历的焦虑可能会导致睡眠困难进一步加剧,从而导致吸烟增加。这些发现具有重要的临床意义,可能与在压力环境下尽量减少吸烟的尝试特别相关。
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来源期刊
Behavioral Sleep Medicine
Behavioral Sleep Medicine CLINICAL NEUROLOGY-PSYCHIATRY
CiteScore
7.20
自引率
3.20%
发文量
49
审稿时长
>12 weeks
期刊介绍: Behavioral Sleep Medicine addresses behavioral dimensions of normal and abnormal sleep mechanisms and the prevention, assessment, and treatment of sleep disorders and associated behavioral and emotional problems. Standards for interventions acceptable to this journal are guided by established principles of behavior change. Intending to serve as the intellectual home for the application of behavioral/cognitive science to the study of normal and disordered sleep, the journal paints a broad stroke across the behavioral sleep medicine landscape. Its content includes scholarly investigation of such areas as normal sleep experience, insomnia, the relation of daytime functioning to sleep, parasomnias, circadian rhythm disorders, treatment adherence, pediatrics, and geriatrics. Multidisciplinary approaches are particularly welcome. The journal’ domain encompasses human basic, applied, and clinical outcome research. Behavioral Sleep Medicine also embraces methodological diversity, spanning innovative case studies, quasi-experimentation, randomized trials, epidemiology, and critical reviews.
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